Success with hydrostatic reduction of intussusception in relation to duration of symptoms

Abstract

Background: It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to presentation. Aim: To prospectively evaluate success in relation to duration of symptoms. Methods: Prospective study in which children, regardless of symptom duration, underwent an attempt at hydrostatic reduction. Results: Of 113 children presenting with intussusception, 16 had peritonitis and required immediate laparotomy. A hydrostatic reduction was attempted in 97 and was successful in 77 (79%). There were 26 successful reductions with symptoms ,12 hours (81%), 30 with symptoms for 12-24 hours (81%), and 21 with symptoms .24 hours (75%). Conclusion: The success rate with hydrostatic reduction was not significantly influenced by symptom duration.

Ultrasound guided hydrostatic reduction of intussusception in children by saline enema: our experience

“…Duration of symptoms and success of hydrostatic reduction has been studied in one study previously; the authors concluded that "duration of symptoms does not infl uence success rate with hydrostatic reduction" [22]. In our patients, however, short duration of presentation was associated with signifi cantly better results.…”

Pneumatic reduction of childhood intussusception. Is prediction of failure important?

“…In fact, the patients with delayed diagnosis, that is, a history longer than 24 hours, usually present with a higher rate of failed reduction; on the other hand, the group with failed reduction usually presents with a significantly longer evolution [6,[11][12][13][14][15][16]. However, several studies have not found a significant impact of delayed diagnosis on outcome [1,5,17]. As stated, these conflicting results are probably because of the type of statistical analysis, which did not account for the adjusted effect of multiple factors.…”

A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience

“…The majority of findings in intussusception cases are non-specific. [8] Presentation may be with the classic triad of abdominal pain, bloody stool and vomiting, but cases may also present with findings of perforation, sepsis and peritonitis, associated with delay. In the current study, most of the cases did not present with the classic triad.…”